Addressing Tobacco Cessation at Federally Qualified Health Centers: Current Practices & Resources

This study assesses the current practices of Federally Qualified Health Centers (FQHCs) to address tobacco cessation with patients. A national sample of 112 FQHC medical directors completed the web-based survey. Frequently endorsed barriers to providing tobacco cessation services were: patients lack...

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Bibliographic Details
Published in:Journal of health care for the poor and underserved 2019-01, Vol.30 (3), p.1024-1036
Main Authors: Flocke, Susan A, Vanderpool, Robin, Birkby, Genevieve, Gullett, Heidi, Seaman, Elizabeth L, Land, Stephanie, Zeliadt, Steve
Format: Article
Language:English
Subjects:
Access
Clinical medicine
Counseling
Electronic health records
Electronic mail systems
Electronic medical records
Health care facilities
Health Care Surveys
Health facilities
Health insurance
Health services
Humans
Insurance
Insurance coverage
Internet
Medicaid
Medical directors
Patients
Public health
R&D
Research & development
Safety-net Providers - statistics & numerical data
Smoking cessation
Tobacco
Tobacco Use Cessation - statistics & numerical data
Transportation
United States
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Summary:This study assesses the current practices of Federally Qualified Health Centers (FQHCs) to address tobacco cessation with patients. A national sample of 112 FQHC medical directors completed the web-based survey. Frequently endorsed barriers to providing tobacco cessation services were: patients lacking insurance coverage (35%), limited transportation (27%), and variance in coverage of cessation services by insurance type (26%). Nearly 50% indicated that two or more tobacco cessation resources met the needs of their patients; 25% had one resource, and the remaining 25% had no resources. There were no differences among resource groups in the use of electronic health record (EHR) best-practice-alerts for tobacco use or in the perceived barriers to providing tobacco cessation assistance. Systems changes to harmonize coverage of tobacco assistance, such as broader accessibility to evidence-based cessation services could have a positive impact on the efforts of FQHCs to provide tobacco cessation assistance to their patients.
ISSN:1548-6869
1049-2089
1548-6869
DOI:10.1353/hpu.2019.0071